Down Syndrome
Conditions
Keywords
down syndrome, bin therapy, freely box activties, finger gnosia
Brief summary
Down syndrome is a hereditary disorder resulting from the occurrence of an additional copy of chromosome 21, resulting in discernible variations in cognitive and physical characteristics. Finger gnosis pertains to the capacity to identify and discriminate among individual fingers. Tactile perception and body awareness are both encompassed by this particular component. Finger gnosis encompasses the sensory and cognitive mechanisms that enable an individual to recognize, label, and differentiate between their own fingers and those belonging to others. The therapeutic approach known as BIN Therapy is a non-invasive and pharmacologically unassisted intervention that use electrical stimulation as a means to enhance manual dexterity in individuals afflicted with neurological conditions
Detailed description
It will be a randomized controlled trial. 30 patients fulfilling the inclusion and exclusion criteria will be recruited by non-probability convenience sampling and then randomly divided in two groups using lottery method. Group A will receive will receive conventional physical therapy exercise program including core strengthening, balance and coordination exercise, fine motor skills activities with 2-3 times a week, with 20-50 minutes of each session with each set comprises of 10-12 repetitions of each exercise. And the group B will receive BIN therapy and finger gnosia. Sensory assessment will be assess by Revised Nottingham sensory assessment.
Interventions
OTHERBin therapy and finger gnosia
Schedule bin therapy sessions 2-3 times per week at first, increasing the frequency as participants get used to it. Data will be collected twice i.e., at the start of the study and after completion of 6 weeks of treatment by using outcome measure tools
OTHERconventional therapy
schedule conventional therapy with 20-50 minutes of each session with each set comprises of 10-12 repetitions of each exercise
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
participants will get separate treatment protocols and possible efforts will be put to mask the the both group about treatment
Intervention model description
it will be randomized control trial in which non probability convenient sampling will be used. Two groups of age 6-12 will be formed in which participants will be randomly divided. Group A will receive conventional physical therapy exercise program including core strengthening, balance and coordination exercise, fine motor activities and group b will receive BIN therapy and finger gnosia
Eligibility
Sex/Gender
ALL
Age
5 Years to 13 Years
Healthy volunteers
No
Inclusion criteria
* Age range between 5-13 years * Children with Down syndrome who are able to follow simple instructions. * Medically stable participants can participate in therapeutic procedures. * Participants and their families should be able to attend Bin Therapy weekly.
Exclusion criteria
* Any other medical conditions or cognitive impairments that could affect their participation in the study. * History of seizures. * History of heart problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Finger Gnosia Assessed by Vernier Caliper | baseline and 8th week | Finger gnosia assessed by vernier caliper by two-point discrimination test. 2-5 mm average score, 6-10 mm mild impairment, 11-15 moderate impairment, 16 mm or above severe impairment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nottingham sensory assessment | baseline and 8th weeks | tactile sensation 42 max score, proprioception and Kinesthesia 24 max score, total score 66- 0-20 severe sensory impairment, 21-40 moderate sensory impairment, 41-54 mild sensory impairment, 55 - 66 normal sensory function |
Countries
Pakistan
Outcome results
None listed